Cross-cultural Adaptation of the "Functional Activities Questionnaire - FAQ" for use in Brazil

Sanchez, Maria Angélica dos Santos; Correa, Pricila Cristina Ribeiro; Lourenço, Roberto Alves

doi:10.1590/S1980-57642011DN05040010

Abstract

Objective:

The aim of this paper was to present the results of the first stage of cross-cultural adaptation of the Functional Activities Questionnaire (FAQ).

Methods:

The tool was subjected to translation and re-translation, and the test-retest reliability of a proposed version for use in Brazil was analyzed.

Results:

Of the 548 questionnaire respondents, a convenience sample of 68 informants was selected for retesting. Internal consistency was measured by Cronbach's alpha (0.95) while test-retest reliability was assessed using intra-class correlation (0.97). The findings have shown that FAQ is brief - averaging seven minutes to apply, easily understood and has good intra-rater test-retest reliability.

Conclusion:

Our results suggest this adapted version of the FAQ is a reliable and stable tool which may be useful for assessing function in Brazilian elderly. Notwithstanding, the version should be subjected to further analysis with the aim of reaching functional equivalence.

Key words:
cross-cultural adaptation; informant report; disability; aging.

Resumo

Objetivo:

Este trabalho tem como objetivo apresentar os resultados da primeira fase da adaptação transcultural do Questionário de Atividades Funcionais (FAQ).

Métodos:

O instrumento foi submetido à tradução e retro tradução, e a confiabilidade teste-reteste de uma versão de proposta para uso no Brasil foi analisada.

Resultados:

Dos 548 que responderam ao questionário, uma amostra de conveniência de 68 informantes foi selecionada para o reteste. A consistência interna e confiabilidade teste-reteste foram medidas pelo alfa de Cronbach (0,95), a correlação intra-classe (0,97). Os achados mostram que o FAQ é breve - uma média de sete minutos, de fácil compreensão e teve boa confiabilidade intra-observador no teste-reteste.

Conclusão:

Nossos resultados sugerem que esta versão adaptada do FAQ é um instrumento confiável e estável, e pode ser útil na avaliação de funcionalidade de idosos brasileiros; não obstante, ele deve ser submetido a uma análise mais aprofundada com o objectivo de alcançar a equivalência funcional.

Palavras-chave:
adaptação transcultural; relato do informante; incapacidade; envelhecimento.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

References

Rosa TEC, Benício MHA, Latorre MRDO, Ramos LR. Fatores determinantes da capacidade funcional entre idosos. Rev Saúde Pública 2003;37:40-48.
Jorm AF, Broe GA, Creasey H, et al. Further data on the validity of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). International Journal of Geriatric Psychiatry 1996;11:131-139.
Davis LL. Assessing functional ability in persons with dementia: using family as informants. J Neurosc Nursing 2001;33: 194-202.
McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology 1984;34:939-944.
American Psychiatry Association. - Diagnostic and statistical manual of mental disorders (DSM-IV), 4th ed. Washington, DC; 1994.
Henderson AS, Huppert FA. The problem of mild dementia. Psycoll Med 1984;315:485-487.
Carthey-Goulart MT, Areza FR, Schultz RR, et al. Adaptação transcultural da escala de avaliação de incapacidade em demência (Disability Assessment for Dementia - DAD). Arq Neuropsiquiatr 2007;65:916-919.
Géllinas I, Gauthier L, Mcintyre M, Gauthier S. Development of a functional measure for persons with Alzheimer's disease: the disability assessment for dementia. Am J Occup Ther 1999;53:471-481.
Sanchez MAS, Lourenço RA. Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): adaptação transcultural para uso no Brasil. Cad Saúde Pública 2009;25:1455-1465.
Jorm AF, Scott R, Jacomb PA. Assessment of cognitive decline in dementia by informant questionnaire. Int J Geriatr Psychiatry 1989;4:35-39.
Nitrini R, Caramelli P, Herrera Jr E, et al. Incidence of Dementia in a Community-Dwelling Brazilian Population. Alzheimer Dis Assoc Disord 2004;18:241-246.
Laks J, Batista EMR, Guilherme ERL, et al. Prevalence of cognitive and functional impairment in community-dwelling elderly. Arq Neuropsiquiatr 2005;63:207-212.
Laks J, Batista EMR, Continho ALB, et al. Mini-Mental State Examination norms in a community-dwelling sample of elderly with low schooling in Brazil. Cad Saúde Pública 2007; 23:315-319.
Laks J, Coutinho ESFreire, Junger W, et al., Education does not equally influence all the Mini Mental State Examination subscales and items: inferences from a Brazilian community sample. Rev Bras Psiq 2010;32:223.
Pfeffer RI, Kurosaki TT, Harrah CH Jr, Chance JM, Filos S. Measurement of functional activities in older adults in the community. J Gerontol 1982;37:323-329.
Herdman M, Fox-Rushby J, Badia X. A model of equivalence in the cultural adaptation of HRQoL instruments: the universalist approach. Qual Life Res 1998;7:323-335.
Reichenheim ME, Moraes CL. Operationalizing the cross-cultural adaptation of epidemological measurement instruments. Rev Saúde Pública 2007;41:1-9.
Nitrini R, Caramelli P, Bottino CMC, Damasceno BP, Brucki SMD, Anghinah R. Diagnóstico de doença de Alzheimer no Brasil: avaliação cognitiva e funcional. Recomendações do Departamento Científico de Neurologia Cognitiva e do Envelhecimento da Academia Brasileira de Neurologia. Arq Neuropsiquiatr 2005;63:720-727
Freitas EV, Py L. Neri AL, et al (org). Tratado de Geriatria e Gerontologia. Guanabara Koogan; 2002.
Ministério da Saúde. Envelhecimento e Saúde da Pessoa Idosa - Cadernos de Atenção Básica - N.º 19. Brasília - DF 2006. Disponível em: Disponível em: http://docs.thinkfree.com /docs/ view.php?dsn=860193 Acesso em 16/05/2011.
» http://docs.thinkfree.com /docs/ view.php?dsn=860193

Publication Dates

Publication in this collection
Oct-Dec 2011

History

Received
21 July 2011
Accepted
17 Sept 2011

This is an open-access article distributed under the terms of the Creative Commons Attribution License

[1] Rosa TEC, Benício MHA, Latorre MRDO, Ramos LR. Fatores determinantes da capacidade funcional entre idosos. Rev Saúde Pública 2003;37:40-48.

[2] Jorm AF, Broe GA, Creasey H, et al. Further data on the validity of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). International Journal of Geriatric Psychiatry 1996;11:131-139.

[3] Davis LL. Assessing functional ability in persons with dementia: using family as informants. J Neurosc Nursing 2001;33: 194-202.

[4] McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology 1984;34:939-944.

[5] American Psychiatry Association. - Diagnostic and statistical manual of mental disorders (DSM-IV), 4th ed. Washington, DC; 1994.

[6] Henderson AS, Huppert FA. The problem of mild dementia. Psycoll Med 1984;315:485-487.

[7] Carthey-Goulart MT, Areza FR, Schultz RR, et al. Adaptação transcultural da escala de avaliação de incapacidade em demência (Disability Assessment for Dementia - DAD). Arq Neuropsiquiatr 2007;65:916-919.

[8] Géllinas I, Gauthier L, Mcintyre M, Gauthier S. Development of a functional measure for persons with Alzheimer's disease: the disability assessment for dementia. Am J Occup Ther 1999;53:471-481.

[9] Sanchez MAS, Lourenço RA. Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): adaptação transcultural para uso no Brasil. Cad Saúde Pública 2009;25:1455-1465.

[10] Jorm AF, Scott R, Jacomb PA. Assessment of cognitive decline in dementia by informant questionnaire. Int J Geriatr Psychiatry 1989;4:35-39.

[11] Nitrini R, Caramelli P, Herrera Jr E, et al. Incidence of Dementia in a Community-Dwelling Brazilian Population. Alzheimer Dis Assoc Disord 2004;18:241-246.

[12] Laks J, Batista EMR, Guilherme ERL, et al. Prevalence of cognitive and functional impairment in community-dwelling elderly. Arq Neuropsiquiatr 2005;63:207-212.

[13] Laks J, Batista EMR, Continho ALB, et al. Mini-Mental State Examination norms in a community-dwelling sample of elderly with low schooling in Brazil. Cad Saúde Pública 2007; 23:315-319.

[14] Laks J, Coutinho ESFreire, Junger W, et al., Education does not equally influence all the Mini Mental State Examination subscales and items: inferences from a Brazilian community sample. Rev Bras Psiq 2010;32:223.

[15] Pfeffer RI, Kurosaki TT, Harrah CH Jr, Chance JM, Filos S. Measurement of functional activities in older adults in the community. J Gerontol 1982;37:323-329.

[16] Herdman M, Fox-Rushby J, Badia X. A model of equivalence in the cultural adaptation of HRQoL instruments: the universalist approach. Qual Life Res 1998;7:323-335.

[17] Reichenheim ME, Moraes CL. Operationalizing the cross-cultural adaptation of epidemological measurement instruments. Rev Saúde Pública 2007;41:1-9.

[18] Nitrini R, Caramelli P, Bottino CMC, Damasceno BP, Brucki SMD, Anghinah R. Diagnóstico de doença de Alzheimer no Brasil: avaliação cognitiva e funcional. Recomendações do Departamento Científico de Neurologia Cognitiva e do Envelhecimento da Academia Brasileira de Neurologia. Arq Neuropsiquiatr 2005;63:720-727

[19] Freitas EV, Py L. Neri AL, et al (org). Tratado de Geriatria e Gerontologia. Guanabara Koogan; 2002.

[20] Ministério da Saúde. Envelhecimento e Saúde da Pessoa Idosa - Cadernos de Atenção Básica - N.º 19. Brasília - DF 2006. Disponível em: Disponível em: http://docs.thinkfree.com /docs/ view.php?dsn=860193 Acesso em 16/05/2011.
» http://docs.thinkfree.com /docs/ view.php?dsn=860193

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